Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26NJ00909700 | NJ |
NPI | 1003444522 |
---|---|
Provider Name | Lauren Horton |
First Address | New Brunswick, NJ 08901-1942 |
Second Address | New Brunswick, NJ 08901-1942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2020 |
Last Update Date | 21/05/2020 |